Test 2: Wk7: 1 Tubular transport of glucose/phosphate/urea/organic - Mangiarua Flashcards
many transporter are —
not specific and transport a variety of similar subatances
most organic solutes are transported only in
proximal tubule
— charged organic solutes enter the cell via symporters with Na
neutral/ negative
— enter via uniporters driven by the negative membrane potential
cations
solutes move through a variety of pathways across the opposite membrane from which they entered in favor of — or couple via a —
chemical gradient, antiporter
glucose is filtered where
freely at glomerulus
glucose is taken up across the apical membrane by — and — and leaves across the basolateral membrane via —
SLGT2 and SGLT1; glucose uniporters GLUT
all filtered glucose is
reabsorbed
transport maximum for glucose Tm
375 mg/min
Glucose first appears in the urine at the
plasma threshold for glucose
true plasma threshold for glucose is
180-200 mg/ 100ml
splay
Glucose appears in the urine prior to complete saturation of tubular reabsorptive capacity
4 key characteristics of glucose transport
(1) threshold,
2) saturation (Tm),
(3) splay
(4) clearance approaching GFR at infinite plasma concentrations
Glucose is reabsorbed by the same mechanism that reabsorbs
xylose, fructose and
galactose
⬆⬆⬆ Plasma Glucose conc. blocks all reabsorption of —
xylose
Renal glycosuria
glucose in urine as a result of a defective or missing transport
mechanism
TG = 0 or very low.
Diabetes mellitus glucosuria due to
lack of insulin
TG = OK
Pregnancy - glucosuria due to
⬆⬆⬆ GFR, glomerular hyperfiltration.
RBF may increase 40% in response to gestational hormones
TG = OK
clearance of amino acids
0
amino acids are — reabsorbed
actively reabsorbed
filtered loads of amino acids are normally —- than their Tm
much less
amino acid transport mechanisms exhibit considerable —
splay
— may occur in the presence of two related amino acids
competitive inhibition
the — absorbs <98% of amino acids via a — route
prox tubule; transcellular
at the apical membrane amino acids enter via
Na or H driven transporters and exchangers
at the basolateral membrane amino acids exit the cell via
amino acid exchangers
some Na dependent and some facilitated diffusion
the — reabsorbs ~98% of filtered olgliopeptides
prox tubule
small linear peptides like ANGII are
completely filterable
enzymes in the brush border of the PCT break oligopeptides into — which are reabsorbed
amino acids
— to — molecular wt proteins will filter
7000 to 70,000
the proximal tubules reabsorb % to % of filtered protein
96% - 99%
the kidney — filters urea at the — then it reabsorbs and secretes it
freely, glomerulus
the tubules reabsorb — urea than they secrete which makes the amount of urea in the urine — that what is filtered
more, less
primary site of urea secretion
thin limbs of loop of henle
in the proximal tubule, water carriers urea by — via — or — pathways
diffusion via transcellular or paracellular
some urea may be reabsorbed by — across –
solvent drag across tight junctions
in the thin descending limb, urea is secreted by — through —
facilitated diffusion through urea transporters
urea secretion thin ascending limb
same as descending (facilitated diffusion) ; transporter unknown
Inner medullary collecting duct — urea via — involving —
reabsorbs urea via transcellular route involving apical and basolateral membranes
Inner medullary collecting duct urea transporter for apical membrane
UT-A1
Inner medullary collecting duct urea transporter for basolateral membrane
UT-A3
— stimulates UT-A1 and UTA-3
ADH
urea excretion — with increasing urine flow
rises
organic anions and cations are secreted by —
late proximal tubule
Organic Anions enter the cell across the basolateral membrane by one of three α-ketoglutarate antiporter mechanisms
OAT1, OAT2, OAT3
Organic Anions leave the cell across the apical membrane by —
MRP2
Organic Cations enter the cell across the basolateral membrane by four transport pathways: — and 3 uniporters
passive diffusion
OCT1, OCT2, OCT3
Organic Cations leave the cell across the apical membrane in exchange for H+ by two antiporters
OCTN1, OCTN2
OC+-H+
weak organic acids and bases are reabsorbed or secreted
passively
in acidic urine a weak acid will be —
reabsorbed
in alkaline urine a weak acid will be —
excreted
in acidic urine, a weak base will be —
excreted
in alkaline urine a weak base is —
reabsorbed